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Journal of Nuclear Cardiology

, Volume 25, Issue 2, pp 389–393 | Cite as

What is This Image? 2018: Image 5 Result

Insidious disease
  • Vasvi Singh
  • Saurabh Malhotra
WHAT IS THIS IMAGE?
  • 125 Downloads

Introduction

Myocardial perfusion SPECT often points towards other non-coronary etiologies of chest pain. Here, we report one such insidious condition.

Clinical History

A 54-year-old male with a history of ascending aortic aneurysm and a history of sudden cardiac arrest (SCA), at an outlying facility 5-years ago, was admitted with chest pain. The patient has an implantable cardioverter defibrillator (ICD), placed at the outlying facility 5 years ago for secondary prevention, though a work-up for SCA at that time was unremarkable—reportedly negative coronary angiogram. Per patient, a cardiac magnetic resonance was not performed prior to ICD implantation.

On this admission, a cardiac computed tomography angiography (CCTA) of the torso was performed in the emergency department that was negative for active aortic disease. An initial EKG showed atrial fibrillation, septal infarct pattern, and T-wave inversion in the anterolateral leads (Figure  1). The patient underwent a myocardial...

Notes

Disclosure

The authors declare that they have no conflict of interest to disclose.

References

  1. 1.
    Nagueh SF, Bierig SM, Budoff MJ, Desai M, Dilsizian V, Eidem B, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with hypertrophic cardiomyopathy: Endorsed by the American Society of Nuclear Cardiology, Society for Cardiovascular Magnetic Resonance, and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr 2011;24:473-98.CrossRefPubMedGoogle Scholar
  2. 2.
    Irwin RB, Arumugam P, Khattar RS. Incidental detection of apical hypertrophic cardiomyopathy by myocardial perfusion imaging. Nucl Med Commun 2010;31:286-93.CrossRefPubMedGoogle Scholar
  3. 3.
    Cianciulli TF, Saccheri MC, Masoli OH, Redruello MF, Lax JA, Morita LA, et al. Myocardial perfusion SPECT in the diagnosis of apical hypertrophic cardiomyopathy. J Nucl Cardiol 2009;16:391-5.CrossRefPubMedGoogle Scholar
  4. 4.
    Dilsizian V, Panza JA, Bonow RO. Myocardial perfusion imaging in hypertrophic cardiomyopathy. JACC Cardiovasc Imaging 2010;3:1078-80.CrossRefPubMedGoogle Scholar
  5. 5.
    Dilsizian V, Bonow RO, Epstein SE, Fananapazir L. Myocardial ischemia detected by thallium scintigraphy is frequently related to cardiac arrest and syncope in young patients with hypertrophic cardiomyopathy. J Am Coll Cardiol 1993;22:796-804.CrossRefPubMedGoogle Scholar

Copyright information

© American Society of Nuclear Cardiology 2018

Authors and Affiliations

  1. 1.Division of Cardiovascular Diseases, Jacobs School of Medicine and Biomedical SciencesUniversity at BuffaloBuffaloUSA

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